Madagascar 2020 Country card - Handicap International

 
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Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

Country card
Madagascar 2020

                Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

 General country data
 a. General data

Country          Madagascar             South Africa           France
Population       26,969,307             58,558,270             67,059,887
Inequality-      0.521                  0.705                  0.891
Adjusted
Human
Development
Index (IAHDI)
IHDI             0.386                  0.463                  0.809
Maternal         480                    200                    10
mortality
Gender           0.946                  0.98                   0.98
development
index
Refugee          44                     89,285                 368,352
population
INFORM index     5.2                    4.7                    2.2
Fragile States   79.5                   70.1                   30.5
Index            58/178 countries
GINI index       42.6                   63                     31.6
Social Support   0.684
                 128/155 countries
Development      690.57                 914.81                 0
assistance (in
millions USD)

 b. Humanitarian law instruments ratified by the country

      Humanitarian law instruments            Status
      Mine Ban Treaty                         Ratified on 16/09/1999
      Convention on Cluster Munitions         Ratified on 03/12/2008
      Convention on the Rights of
                                              Ratified on 12/05/2015
      Persons with Disabilities

                           Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

c. Geopolitical analysis

1. Social, cultural and demographic context
Madagascar has an annual population growth rate of 3.01%. 80.5% of the population
lives in rural areas where 85% of people live below the poverty line. The population is
young (median age: 19.6 years old; 20% 15 to 24 years old).

2. Political situation
After a turbulent election, Andry Rajoelina assumed the presidency in 2018. He had
already been president from 2009 to 2014.

His policy agenda is to strengthen the economy by creating the right conditions for
business, international trade and direct foreign investment. He has also promised to
invest in education and, to a lesser extent, in public safety.

3. Economic situation
According to the World Bank, Madagascar is the fourth poorest country in the world
in terms of per capita wealth, but GDP grew 4.8% in 2019 compared to 3.9% in
2017. According to the IMF, public and publicly guaranteed external debt (PPG)
remains sustainable, with “moderate” external debt overhang. Inflation stabilised
below 6% in 2019. However, in 2020, the Covid-19 crisis will have a serious
economic, social and budgetary impact: it will disrupt international trade and travel,
and lockdown measures are expected to cause a sharp decline in business activity,
with GDP expected to drop to 1.2, according to the World Bank. Vulnerable people
will be particularly exposed to economic hardship and poverty traps. The collapse in
tax revenues and expenditure related to the health crisis will increase the budget
deficit, causing a sudden increase in financing needs.

                           Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

          Summary of HI’s work in the
          country
          In 2017, HI celebrated 30 years of involvement in Madagascar, a period that can be
          divided into five activity phases:
              o 1987 to 1996: rehabilitation actions only
              o 1996 to 2005: Action Nord Sud period and work on structuring the non-profit
                 sector.
              o 2006 to 2014: renewed focus on disability.
              o 2015-2019: MYOP1(Multi-Year Operational Framework): extending our work
                 to cover new fields and people who take part in our projects.
              o 2020: new country strategy 2020-2024

1
    MYOP assessment: https://hinside.hi.org/intranet/jcms/pl1_2482964/fr/evaluation-cop-madagascar-2015-
2019

                                          Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

HI’s team and where we work

HI’s team in Madagascar has 128 staff members.

                   Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

          Current projects
          Sectors where HI implements projects, focusing on beneficiaries and partners

Main sectors          Project goals in the       Main activities              Beneficiaries      Beneficiaries at   Partners        Location       Project start and end
                      sector                                                                     the end of the                                    date and funding
                                                                                                 project                                           bodies
RISK AND DISASTER     Mahalomba                  • Hazard identification      167,274 people     412,864 people     BNGC            Boeny region   July 2018 - June 2020
MANAGEMENT                                         analysis.                                                        Care (project
                      Build disaster             • Improve IEC tools for      23 organisations   23 organisations   manager)                       Funding body (bodies):
                      preparedness and             disaster risk management                                         SAF-FJKM                       ECHO
                      response capacities          and make them inclusive.
                      based on an inclusive      • Set up DRM committees.
                      approach on the west       • Adapt early warning
                      coast of Madagascar.         systems.
                                                 • Training and awareness
                      HI’s role is to ensure       raising for local rescue
                      people with disabilities     teams.
                      and their needs are        • Development of district
                      taken into account.          contingency plans and
                                                   support to implement
                                                   them.
                                                 • Adapting the national
                                                   cash transfer mechanism

                                                                         Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

                            at district level.
                          • Setting up and
                            supporting village
                            savings and credit
                            organisations.
                          • Assessing school
                            capacities and
                            vulnerabilities and
                            development of
                            emergency preparedness
                            plans, implementation of
                            DRR clubs and pre-
                            positioning of stocks.
                            Implementing a
                            collaborative mechanism
                            between the PFPH and
                            the BNGRC.
Miaro                     • Provide support to RDM                      • 300 vulnerable   Care    Regions:   July 2019 - June 2021
                            (risk and disaster                            households       BNGRC   Boeny      Funding body (bodies):
Help improve the            management)                                 • 900 children     MEN     Diana      ECHO
resilience of people        committees.                                 • 600 members of
and institutions in the   • Build the capacities of                       Savings and
regions where we            the most vulnerable                           Loans Village
work.                       households to better                          Organisations
Build the preparedness      cope with disasters                           (AVECs)
and response                through early warning                       • 400 members of
capacities of               systems.                                      the education
institutions and          • Build the inclusive                           community
populations.                disaster risk reduction
                            (IDRR) capacities of
                            students and the

                                                  Contact: p.jerome@hi.org
Madagascar 2020 Country card - Handicap International
HI - Madagascar - FP 2020

                           education community.
                         • Rapid responses to the
                           immediate and vital
                           needs of the disaster-
                           affected population.

Parirac                  •   Participatory                                •    50 committee    ACF (lead)     Atsimo      May 2020 - June 2022
                             community-based                                   members         +              Andrefana
Build climate hazards        vulnerability analysis in                    •    3,075 for 116   Welt           Region      Funding body (bodies):
preparedness and             133 Fokontany where                               local rescue    Hunger Hilfe               ECHO
response capacities          we work                                           teams           (WHH)
based on an integrated   •   Implementation and                           •    Teachers in     Secours
and inclusive multi-         operationalisation of                             124 schools,    Islamique
sector approach in the       the RDM Committees                                or 2,640        France (SIF)
coastal zone of the          and Early Warning                                 people
Atsimo Andrefana             System                                       •    22 people in
region.                  •   Support beneficiary                               institutional
IRDM Inclusion               communities to                                    roles
Technical Assistance         develop contingency                          •    750 adults
Project                      plans & simulation                                from parent
                             exercises                                         associations
                         •   Regional contingency                         •    20,000
                             stock prepositioning                              disaster-
                         •   Training of teachers                              affected
                             and parents                                       people (CM
                         •   Rehabilitation and                                framework)
                             strengthening of water,
                             sanitation and hygiene
                             (WASH) facilities in
                             schools and reception
                             facilities

                                                    Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

                                       •   Development of an
                                           operational manual for
                                           emergency
                                           humanitarian response
                                           (cyclone or flood
                                           response) based on
                                           cash transfers
                                       •   Activation of the Crisis
                                           Modifier in case of
                                           emergency

EDUCATION   Manonga                    •   Assessing access by        N/A               28 primary          Min. National   Region:      January 2018 -
                                           young people with                            schools             education       Atsinanana   December 2021
            Inclusive Education (IE)       disabilities to                                                  Fanarenana
                                           secondary education                          6 colleges                                       Funding body (bodies):
            and Social and
                                           and vocational training.                                                                      AFD
            Economic Inclusion:
                                       •   Assessing growth                             3 vocational
            Develop and                    sectors.                                     training centres
            implement IE along the     •   Developing inclusive                         16 DPDs
            "education-training"           education provision for                      3,900 people
            continuum to promote           secondary education                          benefiting from
            equal opportunities for        and vocational training.                     awareness raising
                                       •   Facilities adjustment                        60 vocational
            young people with
                                           and building                                 training actors
            disabilities to succeed        accessibility support.                       benefiting from
            throughout their           •   Personalised social                          awareness-raising
            educational and                support mechanism for
            learning careers.              young people with

                                                                  Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

                                        disabilities.
         Model a system that        •   Synergies between
         contributes to the             actors and advocacy
         general education              and adaptation of
         continuum and                  public policies.
         vocational training.       •   Raising company
                                        awareness of the
                                        capacities of people
                                        with disabilities.

HEALTH   Anjaratasara Phase II      •   Build the skills of health                    400 people with   Ministry of     Regions:       January 2020 -
         Mental health:                 workers.                                      epilepsy          Public Health   Analanjirofo   December 2021
         Integrated                 •   Strengthen the                                20 doctors and                    Boeny
         management of people           community referral                N/A         20 paramedical                                   Funding body (bodies):
         with epilepsy                  system.                                       staff                                            UCB
         guaranteed in the          •   Create or revitalise
         community and at               national organisations
         each level of the health       for people with
         pyramid, improving the         epilepsy.
         social involvement of      •   Psychosocial support
         men and women, and             for people with health
         the inclusion of               problems and their
         children with epilepsy         families.
         in schools.                •   Include and detect
                                        epilepsy during school
                                        medical visits and
                                        support the inclusion of
                                        epileptic children in
                                        schools.
                                    •   Raise awareness of the
                                        public and various

                                                                Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

                            actors on epilepsy and
                            the rights of people
                            with epilepsy.
                        •   Raise awareness of
                            mutual health
                            insurance and other
                            financial mechanisms
                            for vulnerable people in
                            the management of
                            epilepsy.

Hifali                  •   Socio-anthropological                                                                     January 2018 -
                            study on mental health     N/A              810 people with     Ministry of     Region:   December 2021
Mental health:              (MH) community                              health problems     Public Health   Boeny     Funding body (bodies):
                            representations,                                                                          AFD
Develop and
                            perceptions and                             12 Min health
implement a
                            practices.                                  technical
community-based
                        •   Helping the Ministry of                     managers
prevention and
                            Health develop a MH                         62 MH
response strategy to
                            strategic plan.                             professionals
improve the mental
                        •   Rehabilitation of health
health of people in
                            facilities.                                 164 community
psychosocial distress
                        •   Coordination of MH                          officers
and/or suffering from
                            and advocacy actors to
mental health
                            advance the rights of                       8 traditional
disorders.
                            people with MH                              healers
                            disorders.
                        •   Capacity-building for                       190 MH
                            health staff.                               facilities/actors
                        •   Awareness-raising for
                            “tobys" and traditional                     100 members of

                                                  Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

                              practitioners on                            the DPD
                              referrals to health
                              facilities.
                          •   Strengthening the MH
                              component of basic
                              social-work training.
                          •   Implementing a
                              community mutual-
                              support network and
                              establishing an
                              organisation of MH
                              users.

Miarina                   HI’s activities:              N/A               3 prisons   Ministry of     Project-based   October 2019 -
                          •   Set up a reception                          > 80% of    Public Health   work:           September 2022
Mental health:                workshop.                                   detainees   Ministry of     Tana
                          •   Set up a complaints                         assessed    Justice         Mahajanga       Funding body (bodies):
Improve the overall
                              management system.                                      Ministry of     Tamatave        Expertise France
medical care of
                          •   Train prison actors in                                  Population      Manakanra       Initiative 5%
prisoners with                                                                        IPM
                              psychosocial support.
tuberculosis and/or       •   Support/help actors to                                  EKAR            HI’s work:
HIV in prison and on          provide psychosocial                                    PPI             Tana
release.                      support and life plans.                                                 Mahajanga
                          •   Organise sports and                                                     Tamatave

HI will take charge of        socio-educational
the psychosocial              activities.
component with the
following objectives: A
comprehensive
psychosocial support

                                                    Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

mechanism is being
developed and tested
in prisons.
Casimir                   •   KAP study and               N/A              154 health              Ministry of     Regions:     January 2018 -
                              mapping of health                            professionals           Public Health   Atsimo       December 2021
Mother and child              actors and services.                         trained                 Ministry of     Andrefana    Funding body (bodies):
                          •   Review of training                           20 social workers       Population,     Region       MAE Lux / Fondation
health:
                              curricula and training of                    1,620 users of          Social                       Roi Baudoin
Improve access to
                              health and                                   local rehabilitation    Welfare and
mother and child
                              rehabilitation                               services                the
health and the MCH-
                              professionals.                               2,580                   Advancemen
rehabilitation services
                          •   Training of social                           beneficiaries of a      t of Women
care continuum.
                              workers to prevent risk                      minimum package
                              factors, detect                              of mother and
                              impairments and refer                        child health
                              people to health                             activities
                              facilities.                                  600 women
                          •   Community-based                              and/or children
                              rehabilitation training.                     with access to
                          •   Implement the                                funding systems
                              minimum package of                           19,200 young
                              mother and child health                      people made
                              activities.                                  aware of health
                          •   Design and implement                         issues
                              a financial access
                              support mechanism.
                          •   Community and DPO
                              awareness.
Pari                      •   Analyse obstacles to              N/A        500 people with         Ministry of     Regions of   November 2017 to
                              service access.                              disabilities in rural   Public Health   Atsimo       March 2021
                          •   Economic assessment                          areas                   Toamasina       Andrefana    Funding body (bodies):

                                                     Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

Rehabilitation:                of the sector.                               47% of child with   and            Diana
Ensure access to           •   Refurbishment and                            disabilities ≥15    Mahajanga      Atsiananana      AFD / Lux MoFA
quality rehabilitation         equipping of                                 51% women           University
and health services            orthopaedic-fitting and                      5,000 people from   Hospital
that meet their needs          rehabilitation services.                     the communities     PFPH
including the use of       •   Capacity-building for                                            GNTP
ICTs.                          rehabilitation
                               professionals by
                               developing education,
                               continuous education
                               and networking.
                           •   Improving the funding
                               of health care
                               provision.
                           •   Monitoring the
                               implementation of the
                               National Rehabilitation
                               Plan.

WISH2Action                •   Development and                  N/A                             Marie Stopes   National level   March to August 2021
                               implementation of an                                             Madagascar
SRH:                           impact strategy for                                              (leader)                        Funding body (bodies):
                               public policies and                                              Options                         Foreign,
Improve access of
                               support to the Ministry                                          DMI                             Commonwealth &
vulnerable women to
                               of Public Health to                                                                              Development
sexual and                     achieve its goals.                                                                               Department (FCDO)
reproductive health.       •   Development and                                                                                  Formerly DFID
                               implementation of a
HI’s specific role is to       public communication
ensure people with

                                                      Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

                   disabilities and their        and information
                   needs are taken into          strategy on sexual and
                   account.                      reproductive health
                                                 services and changing
                                                 beliefs and practices.
                                             •   Deploying paramedical
                                                 staff for at-home
                                                 services.
                                             •   Strengthening of local
                                                 follow-up care and
                                                 rehabilitation services
                                                 via Marie Stopes
                                                 Madagascar centres.
                                             •   Setting up mobile
                                                 teams to offer services
                                                 in the most isolated
                                                 areas.
                   3D                        •   Propose solutions for        10 patients        10 patients     Diana          Diana region   January 2019 -
                   Rehabilitation: perform       flexible prosthetic                                             University                    ongoing
                   a technological study         sockets                                                         Hospital                      Funding body (bodies):
                   to reduce the costs of    •   Test on 10 patients                                             Proteor                       HI
                   a 3D-printed                                                                                  Comany
                   prosthesis.                                                                                   ProsFit
                                                                                                                 Technologies
                                                                                                                 Company
RIGHTS & SUPPORT   Mahatsangy                • Organisational self-           7 partner          7 partner       UNAHM          Tananarive     January 2019 -
TO DPOs            Support to the              assessment for two             organisations      organisations   Orchidées      Antsirabe      December 2021
                   disability movement:        organisations.                                                    blanches       Fianarantsoa
                   Strengthening             • Implementation of a co-                                           Fanarenana     Diego Suàrez   Funding body (bodies):

                                                                           Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

              organisations working         funding mechanism and                                          FAAM                         DCI Monaco
              with and for people           advisory support for                                           Ephata
              with disabilities to          partner organisation                                           AJFACE
              empower them.                 projects.
                                          • Inter-organisational
                                            meetings, practices
                                            lesson-learning.
                                          • Mapping of organisation
                                            network coordination
                                            spaces and an impact
                                            plan.
FOOD SAFETY   Maharo                     Providing essential inputs      N/A              20,000           CRS (lead)   Androy region   October 2019 -
              Mainstreaming              and technical support to                         households or                                 September 2024
              disability in              farmers and fishermen.                           80,000 people
              development and civil      Promoting adaptation and
              society action.            mitigation for sustainable
                                         food security and resilience.
              Improved food security
              for vulnerable
              households and
              continued crop
              production for
              drought-affected
              households.

              HI’s role is to ensure
              people with disabilities
              and their needs are
              taken into account.
EMERGENCY     Mitehafa                   •   Information and             NA               200,000 people   Covid-19     Analamanga      May 2020 to April
Covid_19                                     awareness-raising to                         covered by       Operations   Analanjirofo    2021

                                                                    Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

Help adapt behaviour         change behaviour in                         awareness-           Coordination    Atsinanana
in response to the           response to the                             raising, targeting   Centre                       Funding body (bodies):
pandemic while               pandemic, mitigate                          people with                                       European Union
building the response        stress factors, and                         special needs in     Douleurs
and preparedness             reduce the stigma and                       particular           Sans
capacities and               discrimination                                                   Frontières
economic and                 experienced by target                       Some 900 pre-
psychological                audiences                                   targeted people      SOS Villages
resilience of affected                                                   including intra-     d’enfants
people, especially       •   Building the capacity of                    hospital medical
those with special           actors to care manage                       and non-medical      Ordre des
needs                        the psychological                           staff, as well as    Psychologue
                             distress caused by the                      Covid-19 patients    s
                             pandemic for target                         and their families
                             audiences                                                        Disabled
                         •   Strengthening the                           Some 3,000           people’s
                             resilience of vulnerable                    vulnerable           organisation
                             households by                               households or        s
                             supporting the                              12,600 people
                             "Loharano" response                         provided with        Civil society
                             and taking into account                     social and           organisation
                             people with special                         economic support     s
                             needs
                         •   Anticipating and                            Actors in Covid-
                             preparing for a second                      19 response
                             COVID-19 crisis

                                                   Contact: p.jerome@hi.org
HI - Madagascar - FP 2020

  Funding bodies

Expertise France         DCI Monaco                          AFD
  Initiative 5%

MAE Luxembourg               EU                             USAID

     ECHO                  FCDO                   Fondation Roi Baudoin / UCB
                   Foreign, Commonwealth &
                   Development Department

                       Contact: p.jerome@hi.org
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